scholarly journals USE OF TISSUE DOPPLER IMAGING TO DETECT RIGHT VENTRICULAR MYOCARDIAL DYSFUNCTION IN PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE

2017 ◽  
Vol 10 (6) ◽  
pp. 118
Author(s):  
Jyothi Samanth ◽  
Padmakumar R ◽  
Ashwinikumar Mohapatra ◽  
Krishnananda N ◽  
Navin Patil ◽  
...  
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Tissue Doppler Imaging ◽  
Myocardial Dysfunction ◽  
Tissue Doppler ◽  
Doppler Imaging ◽  
Chronic Obstructive ◽  
Systolic Strain ◽  
Obstructive Pulmonary Disease ◽  
Peak Systolic Strain ◽  
Copd Patients

Objective: To determine the utility of tissue Doppler imaging (TDI) in detecting early right ventricle (RV) myocardial dysfunction, given its prognostic implications in patients with chronic obstructive pulmonary disease (COPD).Methods:  A prospective case-control study was carried out involving 36 COPD patients in an acute exacerbated state as cases and 34 healthy subjects serving as controls. Each subject underwent a baseline echocardiography using various methods ranging from m-mode and 2-dimensional measures for analyzing RV geometry to strain and strain rate using Tissue Doppler Imaging to measure RV deformation. The cases underwent a subsequent echocardiogram 1month later once the respiratory symptoms subsided.Results: A significant difference was observed in RV tissue annular velocities ( E’, A’, S) between cases and the controls at baseline. However no significant increase was observed in tissue annular velocities among cases during remission states from baseline. Peak systolic strain in COPD group was significantly reduced in comparison to controls, but not significantly increased during remission when compared to baseline in cases. FEV1/VC did not bear any significant correlation with RV strain. Tei index had a negative linear correlation with peak systolic strain of RV, which was statistically significant.Conclusion: TDI parameters revealed that RV dysfunction remains unaltered even in remission state of COPD, despite pulmonary arterial pressure normalizing. In light of it bearing a negative prognosis in COPD, RV dysfunction merits assessment in COPD patients, both in acute exacerbations as well as in remission.  

Correlation of Tissue Doppler imaging parameters with Chronic Obstructive Pulmonary Disease

2016 ◽  
Vol 7 (1) ◽  
pp. 01-15
Author(s):  
Virendra C. Patil ◽  
Harsha V. Patil ◽  
Vaibhav Agrwal ◽  
Sandhya Kulkarni ◽  
Shrikant A. Lomte ◽  
...  
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Pulmonary Disease ◽  
Tissue Doppler Imaging ◽  
Tissue Doppler ◽  
Doppler Imaging ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Imaging Parameters

scholarly journals Myocardial tissue doppler imaging in studying of change in the longitudinal right ventricular function in patients with chronic obstructive pulmonary disease

2010 ◽  
Vol 9 (6) ◽  
pp. 128-132
Author(s):  
N. G. Ivanova
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Pulmonary Disease ◽  
Tissue Doppler Imaging ◽  
Clinical Symptoms ◽  
Tissue Doppler ◽  
Doppler Imaging ◽  
Chronic Obstructive ◽  
Myocardial Tissue ◽  
Obstructive Pulmonary Disease ◽  
Functional Changes

The obstructive of paper was to study and match clinical symptoms of chronic obstructive pulmonary disease, laboratory and instrumental analyses data, and data obtained from myocardial Tissue Doppler Imaging. Sixty four patients four patients with chronic obstructive pulmonary disease were examined. It was discovered that information obtained through myocardial Tissue Doppler Imaging is in fact early evidence of pulmonary heart disease available at the pre-clinical stage (functional changes are observed before clinical symptoms).

Evaluation of atrial conduction features with tissue doppler imaging in patients with chronic obstructive pulmonary disease

2012 ◽  
Vol 101 (8) ◽  
pp. 599-606 ◽  
Author(s):  
Ilker Murat Caglar ◽  
Tolga Dasli ◽  
Fatma Nihan Turhan Caglar ◽  
Mehmet Kamil Teber ◽  
Murat Ugurlucan ◽  
...  
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Pulmonary Disease ◽  
Tissue Doppler Imaging ◽  
Tissue Doppler ◽  
Doppler Imaging ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease

scholarly journals Body fat mass in patients with chronic obstructive pulmonary disease as a risk factor for right ventricular structural-functional changes

2019 ◽  
Vol 36 (1) ◽  
pp. 63-69
Author(s):  
R. A. Kostareva ◽  
B. V. Golovskoy ◽  
A. I. Podyanova ◽  
A. V. Gerasimova
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Body Mass ◽  
Body Fat ◽  
Fat Mass ◽  
Chronic Obstructive ◽  
Body Fat Mass ◽  
Free Wall ◽  
Systolic Strain ◽  
Obstructive Pulmonary Disease ◽  
Copd Patients

Aim. To study the correlation between the body fat mass (BFM) and the structural-functional characteristics of right ventricle (RV) in patients with different body mass, suffering from chronic obstructive pulmonary disease (COPD). Materials and methods. Echocardiography, ultrasound determination of subcutaneous and premesenterial layer thickness, assessment of leptin level was performed in 72 COPD patients, who were divided into three groups: group 1 – patients with normal body mass (n = 31), group 2 – patients with excess weight (n = 21), group 3 – patients with class I-II obesity (n= 20). Results. Among COPD patients, body mass index (BMI) growth causes increase in BFM and subcutaneous and premesenterial fat thickness, elevation in blood serum leptin level, but decrease in lean body mass (LBM). The global longitudinal systolic strain of the free wall of RV in COPD patients with obesity (–17.39 ± 3.64, p = 0.002) and elevated body mass (–17.96 ± 5.69, p = 0.006) is reduced. Conclusions. Among COPD patients with different body mass, the global longitudinal systolic strain of RV free wall aggravates as leptin level and body fat mass grow that can be the reflection of mechanical exposure and epicardial fat pressure on the right ventricle.

Oral and Oropharyngeal Sensory Function in Adults With Chronic Obstructive Pulmonary Disease

2020 ◽  
Vol 29 (2) ◽  
pp. 864-872
Author(s):  
Fernanda Borowsky da Rosa ◽  
Adriane Schmidt Pasqualoto ◽  
Catriona M. Steele ◽  
Renata Mancopes
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Oral Cavity ◽  
Pulmonary Disease ◽  
Thermal Sensation ◽  
Sensory Function ◽  
Control Group ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Age Related ◽  
Copd Patients

Introduction The oral cavity and pharynx have a rich sensory system composed of specialized receptors. The integrity of oropharyngeal sensation is thought to be fundamental for safe and efficient swallowing. Chronic obstructive pulmonary disease (COPD) patients are at risk for oropharyngeal sensory impairment due to frequent use of inhaled medications and comorbidities including gastroesophageal reflux disease. Objective This study aimed to describe and compare oral and oropharyngeal sensory function measured using noninstrumental clinical methods in adults with COPD and healthy controls. Method Participants included 27 adults (18 men, nine women) with a diagnosis of COPD and a mean age of 66.56 years ( SD = 8.68). The control group comprised 11 healthy adults (five men, six women) with a mean age of 60.09 years ( SD = 11.57). Spirometry measures confirmed reduced functional expiratory volumes (% predicted) in the COPD patients compared to the control participants. All participants completed a case history interview and underwent clinical evaluation of oral and oropharyngeal sensation by a speech-language pathologist. The sensory evaluation explored the detection of tactile and temperature stimuli delivered by cotton swab to six locations in the oral cavity and two in the oropharynx as well as identification of the taste of stimuli administered in 5-ml boluses to the mouth. Analyses explored the frequencies of accurate responses regarding stimulus location, temperature and taste between groups, and between age groups (“≤ 65 years” and “> 65 years”) within the COPD cohort. Results We found significantly higher frequencies of reported use of inhaled medications ( p < .001) and xerostomia ( p = .003) in the COPD cohort. Oral cavity thermal sensation ( p = .009) was reduced in the COPD participants, and a significant age-related decline in gustatory sensation was found in the COPD group ( p = .018). Conclusion This study found that most of the measures of oral and oropharyngeal sensation remained intact in the COPD group. Oral thermal sensation was impaired in individuals with COPD, and reduced gustatory sensation was observed in the older COPD participants. Possible links between these results and the use of inhaled medication by individuals with COPD are discussed.

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